| Jenkins Family Clinic, Llc | |
|
853 Lakeside Drive Jenkins KY 41537-0853 | |
| (606) 832-0023 | |
| (606) 832-0054 |
| Full Name | Jenkins Family Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 853 Lakeside Drive, Jenkins, Kentucky |
| Authorized Official Name and Position | Heath S. Cook (OWNER) |
| Authorized Official Contact | 6068320023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenkins Family Clinic, Llc 853 Lakeside Drive Jenkins KY 41537-0853 Ph: (606) 832-0023 | Jenkins Family Clinic, Llc 853 Lakeside Drive Jenkins KY 41537-0853 Ph: (606) 832-0023 |
| NPI Number | 1730439647 |
|---|---|
| Provider Enumeration Date | 09/18/2012 |
| Last Update Date | 09/18/2012 |
| Medicare PECOS PAC ID | 9133370992 |
|---|---|
| Medicare Enrollment ID | O20121105000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730439647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael Heath S. Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144403288 PECOS PAC ID: 5193809531 Enrollment ID: I20080225000478 |
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Against All Odds Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 853 Lakeside Dr, Jenkins, KY 41537 Phone: 606-832-0023 | |
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